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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44873/psn-pdf
    March 21, 2016 - Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. March 21, 2016 Cambridge, MA: CRICO Strategies; 2016. https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report Communication failures are known to contribute to medical errors. Analyzing more …
  2. cdsic.ahrq.gov/sites/default/files/2024-12/OY2_Final%20Stakeholder%20Center%20Operational%20Framework.pdf
    January 01, 2024 - Planning Committee Meetings and Communications.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38488/psn-pdf
    March 18, 2009 - Intensive care units, communication between nurses and physicians, and patients' outcomes. March 18, 2009 Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.4037/ajcc2009353. https://psnet.ahrq.g…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45363/psn-pdf
    September 14, 2016 - Effective perioperative communication to enhance patient care. September 14, 2016 Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20. doi:10.1016/j.aorn.2016.06.001. https://psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care Poor team …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60533/psn-pdf
    May 27, 2020 - What constitutes effective team communication after an error? May 27, 2020 Hart WM, Doerr P, Qian Y, et al. What constitutes effective team communication after an error? AMA J Ethics. 2020;22(4):E298-E304. doi:10.1001/amajethics.2020.298. https://psnet.ahrq.gov/issue/what-constitutes-effective-team-communication-a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42104/psn-pdf
    January 07, 2015 - Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. January 7, 2015 Keenan G, Yakel E, Lopez KD, et al. Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. J Am Med Inform Assoc. 2013;20(2):245-51. doi:10.1136/amiajn…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39541/psn-pdf
    June 02, 2010 - Structured communication for patient safety in emergency medical services: a legal case report. June 2, 2010 Greenwood MJ, Heninger JR. Structured communication for patient safety in emergency medical services: a legal case report. Prehosp Emerg Care. 2010;14(3):345-8. doi:10.3109/10903121003760788. https://psnet.…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837600/psn-pdf
    June 29, 2022 - Handoffs and teamwork: a framework for care transition communication. June 29, 2022 Webster KLW, Keebler JR, Lazzara EH, et al. Handoffs and teamwork: a framework for care transition communication. Jt Comm Qual Patient Saf. 2022;48(6-7):343-353. doi:10.1016/j.jcjq.2022.04.001. https://psnet.ahrq.gov/issue/handoffs…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46782/psn-pdf
    January 24, 2019 - Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. January 24, 2019 Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic uncertainty: An experimental vignette study. Int J Qual Health Care. 2018;30(1):2-8. doi:10.1…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47502/psn-pdf
    June 02, 2019 - Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. June 2, 2019 Arriaga AF, Sweeney RE, Clapp JT, et al. Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during the Event. Anesthesiology. 2019;130(…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33567/psn-pdf
    June 15, 2024 - Handoffs June 15, 2024 Handoffs and Signouts. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/handoffs PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Backgroun…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40545/psn-pdf
    June 22, 2011 - Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. June 22, 2011 Effken JA, Carley KM, Gephart SM, et al. Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. Int J Med Inform. 2011;80(7):507-17. doi:10.…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44141/psn-pdf
    November 06, 2015 - Failures in communication through documents and documentation across the perioperative pathway. November 6, 2015 Braaf S, Riley R, Manias E. Failures in communication through documents and documentation across the perioperative pathway. J Clin Nurs. 2015;24(13-14):1874-1884. doi:10.1111/jocn.12809. https://psnet.a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44070/psn-pdf
    September 09, 2015 - Communication of vital signs at emergency department handoff: opportunities for improvement. September 9, 2015 Venkatesh AK, Curley D, Chang Y, et al. Communication of Vital Signs at Emergency Department Handoff: Opportunities for Improvement. Ann Emerg Med. 2015;66(2):125-30. doi:10.1016/j.annemergmed.2015.02.025…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40209/psn-pdf
    April 22, 2011 - The efficacy of computer-enabled discharge communication interventions: a systematic review. April 22, 2011 Motamedi SM, Posadas-Calleja J, Straus SE, et al. The efficacy of computer-enabled discharge communication interventions: a systematic review. BMJ Qual Saf. 2011;20(5):403-15. doi:10.1136/bmjqs.2009.034587. …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37570/psn-pdf
    February 27, 2008 - Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. February 27, 2008 Witherington EMA, Pirzada OM, Avery A. Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study. Qual Saf Health Care. 2008;17(1):71-5. doi:1…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40195/psn-pdf
    February 02, 2011 - Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... February 2, 2011 Berlin L. Mock trial at 2009 RSNA annual meeting: Jury exonerates radiologist for failure to communicate abnormal finding--but.. Radiology. 2010;257(3):836-45. doi:10.1148/radiol.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50575/psn-pdf
    October 23, 2019 - Dynamic pocket card for implementing ISBAR in shift handover communication. October 23, 2019 Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831. https://psnet.ahrq.gov/issue/dynam…
  19. Slide 1 (ppt file)

    digital.ahrq.gov/sites/default/files/docs/page/ESTRIN_3_I.ppt
    March 08, 2006 - Boards for HIE Memphis RHIO Project Team To be started Q1 2006 Working Groups Planning and Management Communications
  20. psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
    February 23, 2011 - Instead, the name and MRN can be used during all communications and before transporting patients.